A client is experiencing excessive bleeding immediately after the birth of her newborn. After increasing the IV fluids containing oxytocin, with no noticeable decrease in the bleeding, the nurse anticipates which prescriptions from the healthcare provider? Select all that apply
1. methylergonovine maleate (Methergine)
2. butorphanol tartrate (Stadol)
3. misoprostol (Cytotec)
4. betamethasone (Diprolene)
5. fentanyl (Duragesic)
1, 3
Explanation:
1. Methylergonovine maleate is a drug of choice for postpartum hemorrhage.
2. Stadol is an analgesic, and is not used for postpartum hemorrhage.
3. Misoprostol is commonly administered rectally for postpartum hemorrhage.
4. Betamethasone is a glucocorticoid used for preterm labor in an attempt to decrease respiratory distress in the preterm infant.
5. Fentanyl is an analgesic, and is not used for postpartum hemorrhage.
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